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Matthew Sandstrom

NPI 1104398924 · on the registry since 2018

Practice

Address
2307 Ne 4th St Apt D203
Renton, WA 98056
Phone
(425) 589-0625

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
106E00000X
106S00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-12-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington